Bio-psycho-social assessment of occlusal dysaesthesia patients.
Bio-psycho-social assessment of occlusal dysaesthesia patients.
复制标题
咬合感觉障碍患者的生物心理社会评估。
DOI：
10.1111/j.1365-2842.2012.02317.x
复制
发表时间：
2012
期刊：
影响因子：
2.9
通讯作者：
Koyano K
中科院分区：
文献类型：
--
作者：
Tsukiyama Y;Yamada A;Kuwatsuru R;Koyano K
牙科医生偶尔会遇到咬合感觉障碍（OD）患者，他们抱怨咬合不适，但没有明显的咬合异常。这表明，这种情况是有关的三叉神经系统的躯体感觉异常和/或心理问题，如躯体形式障碍。本研究的目的是用生物-心理-社会方法调查OD的特征。选择12名OD患者（10名女性，2名男性;平均年龄54.7岁）和12名健康志愿者（10名女性，2名男性;平均年龄54.8岁）。 使用（i）使用2 mm、5 mm和10 mm厚的标准块和12个比相应标准块更薄或更厚的测试块进行牙间厚度辨别能力测试，以及（ii）心理测试：一般健康问卷（GHQ 60）和情绪状态量表（POMS）简表。OD患者和对照组之间的牙间厚度辨别能力无显著差异（混合模型方差分析，P= 1·000）。 在心理测试方面，OD患者和对照组在GHQ 60（P= 0.143）或POMS简表（P= 0.319）的总分方面均无显著差异（Wilcoxon检验）。 然而，OD患者在几个子量表中与对照组存在显著差异，即GHQ 60的“躯体症状”（P = 0·039）和“重度抑郁”（P= 0·039）以及POMS简表的“抑郁-沮丧”（P= 0·014）和“活力”（P= 0·008）（Wilcoxon检验）。 结果表明，OD患者的牙间厚度辨别能力与正常对照组无差异，但OD患者的心身压力评分较高。
Dentists occasionally experience occlusal dysaesthesia (OD) patients, who complain of bite discomfort without evident occlusal abnormalities. It is suggested that this condition is related to somatosensory abnormalities of the trigeminal system and/or psychological problems such as somatoform disorders. The aim of this study was to investigate the characteristics of OD with a bio‐psycho‐social approach. Twelve OD patients (10 women, two men; mean age 54·7 years) and twelve healthy volunteers (10 women, two men; mean age 54·8 years) were selected. They were assessed using (i) interdental thickness discrimination ability test using 2‐, 5‐ and 10‐mm‐thick standard blocks and 12 test blocks that were thinner or thicker than the corresponding standard block and (ii) psychological tests: General Health Questionnaire (GHQ60) and Profile of Mood States (POMS) brief‐form. There was no significant difference in the interdental thickness discrimination ability between OD patients and controls (mixed‐modelanova,P= 1·000). Regarding psychological tests, there were no significant differences between OD patients and controls in the total scores for either GHQ60 (P= 0·143) or POMS brief‐form (P= 0·319) (Wilcoxon’s test). However, OD patients showed significant differences from controls in several subscales, that is, ‘somatic symptoms’ (P= 0·039) and ‘severe depression’ (P= 0·039) for GHQ60 and ‘depression‐dejection’ (P= 0·014) and ‘vigour’ (P= 0·008) for POMS brief‐form (Wilcoxon’s test). These results suggest there is no difference in interdental thickness discrimination ability between OD patients and normal controls, but OD patients tend to score higher on psychosomatic distress.